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Certified Nursing Assistant

Competency-Based Apprenticeship
Sponsoring Company:
Brookdale Senior Living
O*Net Code
Rapids Code
Req. Hours
Jul 16, 2021
Jul 16, 2021

Competency-Based Skills

13 skill sets | 136 total skills
Use organizational skills (prepare all equipment and supplies prior to performing a care activity to prevent backtracking)
Use effective time management skills (completing care timely in an unhurried manner)
Use and recognize teamwork, leadership, and mentoring
Problem Solving
Recognize problems and know when/how to seek assistance, as well as how to reassess the situation in problem resolution
Incorporate customer service skills – respecting differences and perspectives
Recognize and report changes in residents condition promptly
Perform duties and responsibilities demonstrating respect and cooperation
Demonstrate good character, is productive during work hours, manage attendance and absences according to policy
Maintain a professional demeanor and work appearance
Infection Control Activities
Hand Washing techniques including the use of sanitizing agents according to standards
Use and demonstrate adherence to OSHA and CDC guidelines (such as handling Blood Borne Pathogens and maintaining infection control)
Demonstrate knowledge and utilize Exposure Control Plan
Properly dispose sharps (e.g., razors, needles in sharps container)
Use and demonstrate personal protective equipment (PPE) and devices including gloves, gown, mask, and goggles
Describe and use Standard Precautions as determined by the CDC and OSHA
Describe clean vs dirty areas
Clean and maintain equipment within infection control standards
Physical Environment Maintenance
Perform visual check of resident’s living area and resolve potential safety issues (secure hazardous materials, clear pathways, etc.)
Check resident’s alarm; make sure call light/signal is within resident’s reach; secure patient’s bed
Take care of cleaning needs in resident’s room
Handle soiled linen and clothing to prevent contamination, including isolation techniques in accordance with infection control standards
Make unoccupied bed
Make occupied bed
Ensure the resident/client environment does not have hazards for slips, trips, and falls
Safety Procedures
Understand organization’s safety and emergency protocol and procedures (e.g., how to respond to safety drills, disaster preparedness)
Properly use safety tools (e.g., ABC fire extinguisher)
Discuss fire safety, describe and explain RACE and PASS acronyms
List general safety steps for working in a healthcare environment
Maintain and operate back up equipment as needed
Apply and monitor safety devices
Ability to administer the Heimlich Maneuver and other lifesaving assistance in accordance with organizational policy
Identify measures to promote safety of residents with special needs or issues (e.g., dementia, injuries, illnesses)
Demonstrate safe evacuation procedures and role as a part of the facility disaster response team
Handle oxygen safely
Communicate Effectively while Following Regulations with Residents, Family Members, Medical Team, and Other Authorized Persons
Interact with residents in a respectful way regarding their culture, their needs, and preferences, while respecting their privacy
Utilize skills in conflict management, working with difficult people, and other communication issues that may arise
Describe rules for effective communication with the resident/client and team
Utilize appropriate communication methods for working with the sensory impaired and cognitively impaired
Write report and document issues and events in clear concise language, within regulatory requirements
Report physical changes, mental changes, abuse, any changes to the medical team, or authorized persons of which the team should be aware
Understand and follow legal requirements on reporting and documentation (i.e., HIPAA)
Understand who is an authorized person and what information is allowed to be provided
Maintain resident/client confidentiality and privacy according to organization and HIPAA guidelines
Utilize appropriate communication techniques related to ability (communication board, etc.) with resident/client
Communicate in non-judgmental manner minimizing bias and assumptions
Basic Nursing Assistant Skills
Measure/record respiration and obtain other vital signs
Measure/record oral temperature (non-digital thermometer)
Measure/record rectal temperature (non-digital thermometer)
Measure/record radial pulse
Measure/record height accurately
Measure/record weight (balance scale/chair scale)
Collect urine specimen
Collect stool specimen
Measure/record food and fluid intake
Measure/record urinary output
Provide post-mortem care
Assist nursing staff with any additional duties as assigned within scope of practice
Recognizes and reports changes in resident/client condition including abnormal changes in body function
Personal Care Skills and Activities of Daily Living
Assist resident with bathing or dressing, if needed
Give complete bed bath
Give partial bed bath
Demonstrate the proper order of bathing
Provide AM and PM care
Give shower
Give bath/whirlpool bath
Provide hair care including shampooing, grooming, brushing, combing
Provide mouth care for residents with natural teeth
Provide mouth care for residents with no natural teeth
Provide denture care
Shave resident
Provide hand and nail care
Provide foot care
Dress resident, including care of eyeglasses and hearing aides
Perineal care – female
Perineal care – male
Perineal care – incontinent resident
Assist with bedpan (offer/remove/ clean)
Assist with urinal (offer/remove/ clean)
Use bedside commode
Urinary catheter care
Care of/emptying of urinary drainage bag
Provide ostomy care
Feed resident, including set-up tray, partial assistance, total assistance, adaptive devices, residents with dysphasia, and alternative feeding methods
Provide skin care, including back rub
Position resident in chair
Move resident up in bed
Position resident on side in bed
Transfer resident: one assist, two assist, mechanical lift, transfer belt, and lift sheets
Use common nutritional problems of the elderly and chronically ill to assist with proper nutrition and fluid balance
Verifies the dietary orders food, type, and consistency for residents/clients
Serve and assist with meals according to dietary guidelines
Promote optimal level of nutrition/hydration related to use of assistive devices and in accordance with the plan of care
Promote Resident’s Developmental, Mental Health, and Social Service Needs
Able to effectively and supportively deal with abusive residents
Respect patient privacy (knock before entering)
Promote resident’s social interaction, recreation
Encourage self-advocacy and promote resident’s self-esteem
Demonstrate techniques for communicating effectively and respectfully to residents, families, and guests
Provide companionship; assist resident with correspondence
Encourage health eating choices
De-escalate disputes between residents
Coordinate resident’s appointments
Encourage family and friends as a source of emotional support of resident
Recognize developmental tasks associated with the aging process
Orient resident/client to facility
Recognize signs and symptoms of pain/discomfort and report appropriately
Promote the optimal level of wellbeing for residents/clients experiencing loss/grief
Promote optimal level of sensory stimulation including visual/auditory and tactile
Care of Cognitively Impaired Residents
Ability to effectively communicate with cognitively-impaired residents
Provide appropriate assistance with ADLs to maximize independence and well-being, understanding impairment issues and client preference
Incorporate expanded knowledge of resident’s issues and understanding of what to observe and report with changes in behavior or physically
Basic Restorative Skills/Services
Encourage and support the highest level of functioning and patient self-care as appropriate and safe, utilizing assistive devices or adaptations
Assist with ambulation using gait belt
Demonstrate organization’s Universal Fall Precautions and additional standards based on the resident/client
Utilize ambulation assistive devices and adaptive equipment correctly and safely
Assist resident with feeding adaptive equipment as needed according to plan of care
Under nurse’s care, assist with improving the resident’s range of motion to upper extremities and to lower extremities
Assist the resident in the use of positioning devices in bed and in chair
Assist residents in the proper use of prosthetic/orthotic devices
Apply hand splint
Use all transfer and other equipment in a manner to make the resident feel safe
Implement turning, repositioning, and other preventative and restorative measures to prevent skin breakdown and promote healing of skin injuries
Provide exercise program and other activities with residents that are trying to restore strength and healing as directed by nursing staff
Provide and reinforce bowel and bladder training as needed according to plan of care
Discuss the complications of immobility and importance of exercise to health
Resident’s Rights
Respond to resident’s call lights promptly or promptly forward requests if unable to take care of the request
Recognize and respect the resident/client’s individuality and preferences for wake, bedtime, dress, time of services/assistance, etc.
Recognize, understand and prevent potential abuse/neglect in environment and within self and report promptly to mentor, supervisor, and others according to policy and local regulations
Ability to recognize verbal, mental, emotional, neglect, and financial abuse or exploitation
Provide privacy doors or pulling curtain around resident when providing care
Respect resident individuality and preferences as much as safely possible
Respect and maintain the confidentiality of the resident always adhering to HIPAA and other guidelines
Notify nurse, family member, or other team members of the resident if the resident needs equipment or personal supplies
Respect the privacy of the resident/client demonstrating there are guests in the resident/client’s home
Ability to define abuse, neglect, assault, battery, and malpractice
Identify organization and professional standards related to the use of restraints
Discuss resolving grievances and disputes

Technical Instruction

Basic Life Support for Pre-Hospital and In-Facility Environment - 8 req. hrs
Cardiopulmonary Resuscitation (CPR)
Automated External Defibrillator (AED)
Single Rescuer Life Support Skills
Team Based Life Support Skills
Worker Characteristics - 6 req. hrs
Character, Attendance, Attitude
Organizational Skills, Teamwork, Cooperation
Introductory Curriculum (Introduction to Health Care and Safety) - 21 req. hrs
Communication and Interpersonal Skills
Infection Control
Safety and Emergency Procedures
Promoting Resident Independence
Clean and Safe Environment
Human Body Health Disease - 11 req. hrs
Mental Health, Social Service, and Holistic Client Needs
Aging Process
Maslow’s Hierarchy
Cultural Diversity
Death and Dying Stages
Mental Health Problems: Anxiety Disorders, Psychotic Disorders, Affective Disorders, Organic/Inorganic Disorders
Developmental Tasks that Occur with the Aging Process
How to Respond to Resident Behaviors
Modifying Aide’s Behavior in Response to Resident’s Behavior
Allowing the Resident to make Personal Choices, Providing and Reinforcing other Behavior Consistent with the Resident’s Dignity
Family as a Source of Emotional Support
Basic Nursing Skills - 18 req. hrs
Taking and Recording Vital Signs
Measuring and Recording Height and Weight
Caring for the Resident’s Environment
Recognizing Abnormal Changes in Body Functions and the Importance of Reporting Such Changes
Freedom from Pain
Caring for Patients When Death is Imminent
Personal Care Skills - 28 req. hrs
Overview of Personal Care
Assisting with Eating and Hydration
Proper Feeding Techniques
Skin Care and Alterations in Skin
Transfers, Positioning, and Turning
Care of Cognitively Impaired Residents - 10 req. hrs
Techniques for Addressing the Unique Needs and Behaviors of Individuals with Dementia (Alzheimer’s and Others)
Communicating with Cognitively-Impaired Residents
Understanding Behaviors of Cognitively-Impaired Residents
Appropriate Responses to the Behavior of Cognitively-Impaired Residents
Methods of Reducing the Effects of Cognitive Impairments
Basic Restorative Services - 11 req. hrs
Training the Resident in Self-Care According to the Resident’s Abilities
Use of Assistive Devices in Transferring, Ambulating, Eating, and Dressing
Maintenance of Range of Motion
Proper Turning and Positioning in Bed and Chairs
Bowel and Bladder Training
Care and Use of Prosthetic and Orthotic Devices
Residents Rights - 10 req. hrs
Providing Privacy and Maintenance of Confidentiality
Promoting Resident’s Rights
Giving Assistance in Resolving Grievances and Disputes
Providing Needed Assistance in Getting to and Participating in Resident and Family Groups and Other Activities
Maintaining Care and Security of Resident’s Personal Possessions
Promoting the Resident’s Rights to be Free from Abuse, Mistreatment, and Neglect and the Need to Report Any Instance of Such Treatment to Appropriate Facility Staff
Avoiding the Need for Restraints in Accordance with Current Professional Standards
Additional Course Topics - 25 req. hrs
State and/or Employer Required Additional Classes for CNA
Caring for Specific Populations with Special Needs as a CNA
Clinical Principals
Additional Course Work on Course Topics as Listed Above

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